Provider Demographics
NPI:1982799896
Name:COORDINATED HEALTH LLC
Entity type:Organization
Organization Name:COORDINATED HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP/FISCAL CFO
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORGEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-523-5864
Mailing Address - Street 1:1171 W. TIPTON ST.
Mailing Address - Street 2:STE F
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2793
Mailing Address - Country:US
Mailing Address - Phone:812-523-5864
Mailing Address - Fax:812-522-5835
Practice Address - Street 1:1171 W. TIPTON ST.
Practice Address - Street 2:STE F
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2793
Practice Address - Country:US
Practice Address - Phone:812-523-5864
Practice Address - Fax:812-522-5835
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COORDINATED HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-04
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty